SAMPLE TRANSMITTAL FORMFor interal use only Form PDF TODAY'S DATE * MM DD YYYY S/M * SHIP VIA: * Customer UPS or FedEx Account Number (if provided) REQUESTED SHIP BY DATE? * Yes No SHIP BY DATE (if requested): MM DD YYYY SAMPLES * Provide Details: - Quantity - Full size or cut piece - Collection Name - Color - Finish Notes RECIPIENT NAME: * SHIP TO: * Address 1 Address 2 City State/Province Zip/Postal Code Country RECIPIENT PHONE: * (###) ### #### RECIPIENT EMAIL: * ON BEHALF OF: * Sales Rep Name & Contact Info Thank you!
